a textbook of modern toxicology phần 3 ppt

ROUTES OF ABSORPTION 93 The intercellular pathway is now accepted as the major pathway for absorption. Recall that the rate of penetration is often correlated with the partition coefficient. In fact this is a very tortuous pathway, and the h (skin thickness) in Fick’s first law of diffusion is really 10× the measured distance. By placing a solvent (e.g., ether, acetone) on the surface or tape stripping the surface, the stratum corneum (SC) is removed, and absorption can be significantly increased by removing this outer barrier. This may not be the case for very lipophilic chemical. This is because the viable epidermis and dermis are regarded as aqueous layers compared to the SC. Note that the more lipophilic the drug, the more likely it will form a depot in the SC and be slowly absorbed over time and thus have a prolonged half-life. The transcellular pathway has been discredited as a major pathway, although some polar substances can penetrate the outer surface of the protein filaments of hydrated stratum corneum. The transfollicular pathway is really an invagination of the epidermis into the dermis, and the chemical still has to penetrate the epidermis to be absorbed into the blood stream. This is also a regarded as minor route. Sweat pores are not lined with the stratum corneum layer, but the holes are small, and this route is still considered a minor route for chemical absorption. In general, the epidermal surface is 100 to 1000 times the surface area of skin appendages, and it is likely that only very small and/or polar molecules penetrate the skin via these appendages. Variations in areas of the body cause appreciable differences in penetration of tox- icants. The rate of penetration is in the following order: Scrotal > Forehead > Axilla >= Scalp > Back = Abdomen > Palm and plantar. The palmar and plantar regions are highly cornified and are 100 to 400 times thicker than other regions of the body. Note that there are differences in blood flow and to a lesser extent, hair density, that may influence absorption of more polar toxicants. Formulation additives used in topical drug or pesticide formulations can alter the stratum corneum barrier. Surfactants are least likely to be absorbed, but they can alter the lipid pathway by fluidization and delipidization of lipids, and proteins within the keratinocytes can become denatured. This is mostly likely associated with for- mulations containing anionic surfactants than non-ionic surfactants. Similar effects can be observed with solvents. Solvents can partition into the intercellular lipids, thereby changing membrane lipophilicity and barrier properties in the following order: ether/acetone > DMSO > ethanol > water. Higher alcohols and oils do not damage the skin, but they can act as a depot for lipophilic drugs on the skin surface. The presence of water in several of these formulations can hydrate the skin. Skin occlu- sion with fabric or transdermal patches, creams, and ointments can increase epidermal hydration, which can increase permeability. The reader should be aware of the animal model being used to estimate dermal absorption of toxicants in humans. For many toxicants, direct extrapolation from a rodent species to human is not feasible. This is because of differences in skin thickness, hair density, lipid composition, and blood flow. Human skin is the least permeable compared to skin from rats, mice, and rabbits. Pig skin is, however, more analogous to human skin anatomically and physiologically, and pig skin is usually predictive of dermal absorption of most drugs and pesticides in human skin. Human skin is the best model, followed by skin from pigs, primates, and hairless guinea pigs, and then rats, mice, and rabbits. In preliminary testing of a transdermal drug, if the drug does 94 ABSORPTION AND DISTRIBUTION OF TOXICANTS not cross rabbit or mice skin, it is very unlikely that it will cross human skin. There are several in vitro experimental techniques such as static diffusion (Franz) cells or flow-through diffusion (Bronough) cells. There are several ex vivo methods including the isolated perfused porcine skin flap (IPPSF), which with its intact microvasculature makes this model unique. In vivo methods are the golden standard, but they are very expensive, and there are human ethical and animal rights issues to be considered. There are other factors that can influence dermal absorption, and these can include environmental factors such as air flow, temperature, and humidity. Preexisting skin disease and inflammation should also be considered. The topical dose this is usually expressed in per unit surface area can vary, and relative absorption usually decreases with increase in dose. 6.5.4 Respiratory Penetration As observed with the GIT and skin, the respiratory tract can be regarded as an external surface. However, the lungs, where gas/vapor absorption occurs, are preceded by pro- tective structures (e.g., nose, mouth, pharynx, trachea, and bronchus), which can reduce the toxicity of airborne substances, especially particles. There is little or no absorption in these structures, and residual volume can occur in these sites. However, cells lining the respiratory tract may absorb agents that can cause a toxicological response. The absorption site, which is the alveoli-capillary membrane, is very thin (0.4–1.5 µm). The membranes to cross from the alveolar air space to the blood will include: type I cells to basement membrane to capillary endothelial cells (Figure 6.8). This short dis- tance allows for rapid exchange of gases/vapors. The analogous absorption distance in skin is 100 to 200 µm, and in GIT it is about 30 µm. There is also a large surface area (50 times the area of skin) available for absorption as well as significant blood flow, which makes it possible to achieve rapid adjustments in plasma concentration. Respiratory Bronchiole Alveolar Duct Alveolar Sac Alveolus Atrium Atrium Pore Figure 6.8 Schematic representation of the respiratory unit of the lung. (From Bloom and Fawcett, in A Textbook of Histology, Philadelphia: Saunders, 1975.) ROUTES OF ABSORPTION 95 Gases/vapors must get into solution in the thin fluid film in the alveoli for systemic absorption to occur. For this reason doses are often a measurement of partial pressures, which is important for gases/vapors. The process of respiration involves the movement and exchange of air through several interrelated passages, including the nose, mouth, pharynx, trachea, bronchi, and successively smaller airways terminating in the alveoli, where gaseous exchange occurs. These alveoli consist mainly of type I pneumocytes, which represent 40% of all cells but cover > 90% of surface area, and type II pneumocytes, which represent 60% of all cells but cover 5% of surface area. Macrophages make up 90% of cells in alveolar space. The amount of air retained in the lung despite maximum expiratory effort is known as the residual volume. Thus toxicants in the respiratory air may not be cleared immediately because of slow release from the residual volume. The rate of entry of vapor-phase toxicants is controlled by the alveolar ventilation rate, with the toxicant being presented to the alveoli in an interrupted fashion approximately 20 times/min. Airborne toxicants can be simplified to two general types of compounds, namely gases and aerosols. Compounds such as gases, solvents, and vapors are subject to gas laws and are carried easily to alveolar air. Much of our understanding of xenobiotic behavior is with anesthetics. Compounds such as aerosols, particulates, and fumes are not subject to gas laws because they are in particulate form. The transfer of gas from alveoli to blood is the actual absorption process. Among the most important factors that determine rate and extent of absorption of a gas in lungs is the solubility of that gas. Therefore it is not the membrane partition coefficient that necessarily affects absorption as has been described for skin and GIT membranes, but rather the blood: gas partition coefficient or blood/gas solubility of the gas. A high blood: gas partition coefficient indicates that the blood can hold a large amount of gas. Keep in mind that it is the partial pressure at equilibrium that is important, so the more soluble the gas is in blood, the greater the amount of gas that is needed to dissolve in the blood to raise the partial pressure or tension in blood. For example, anesthetics such as diethyl ether and methoxyflurane, which are soluble (Table 6.3), require a longer period for this partial pressure to be realized. Again, the aim is to generate the same tension in blood as in inspired air. Because these gases are very soluble, detoxification is a prolonged process. In practice, anesthetic induction is slower, and so is recovery from anesthesia. For less soluble gases (e.g., NO, isoflurane, halothane), the partial pressure or tension in blood can be raised a lot easier to that of inspired gases, and detoxification takes less time than those gases that are more soluble. There are several other important factors that can determine whether the gas will be absorbed in blood and then transported from the blood to the perfused tissue. The concentration of the gas in inspired air influences gas tension, and partial pressure can be increased by overventilation. In gas anesthesiology we know that the effects of Table 6.3 Blood: Gas Partition Coefficient in Humans Agent Coefficient Methoxyflurane 13.0–15.0 Halothane 2.3–2.5 Isoflurane 1.4 NO 0.5 96 ABSORPTION AND DISTRIBUTION OF TOXICANTS respiratory rate on speed of induction are transient for gases that have low solubility in blood and tissues, but there is a significant effect for agents that are more soluble and take a longer time for gas tensions to equilibrate. In determining how much of the gas is absorbed, its important to consider what fraction of the lung is ventilated and what fraction is perfused. However, one should be aware that due to diseased lungs, there can be differences between these fractions. For example, decreased perfusion will decrease absorption, although there is agent in the alveoli, and vice versa. The rate at which a gas passes into tissues is also dependent on gas solubility in the tissues, rate of delivery of the gas to tissues, and partial pressures of gas in arterial blood and tissues. After uptake of the gas, the blood takes the gas to other tissues. The mixed venous blood returned to the lungs progressively begins to have more of the gas, and differences between arterial (or alveolar) and mixed venous gas tensions decreases continuously. While gases are more likely to travel freely through the entire respiratory tract to the alveoli, passage of aerosols and particles will be affected by the upper respiratory tract, which can act as an effective filter to prevent particulate matter from reaching the alveoli. Mucous traps particles to prevent entry to alveoli, and the mucociliary apparatus in the trachea traps and pushes particles up the trachea to the esophagus where they are swallowed and possibly absorbed in the GI tract. In addition to upper pathway clearance, lung phagocytosis is very active in both upper and lower pathways of the respiratory tract and may be coupled to the mucus cilia. Phagocytes may also direct engulfed toxicants into the lymph, where the toxicants may be stored for long periods. If not phagocytized, particles ≤1 µm may penetrate to the alveolar portion of the lung. Some particles do not desequamate but instead form a dust node in association with a developing network of reticular fibers. Overall, removal Nose Mouth Pharynx 5 – 30 µm Trachea Bronchi Bronchioli 1 – 5 µm Alveoli 1 µm Figure 6.9 Schematic illustration of the regions where absorption may occur in the respira- tory tract. TOXICANT DISTRIBUTION 97 of alveolar particles is markedly slower than that achieved by the directed upper pul- monary mechanisms. This defense mechanism is not important for vapors/gases. The efficiency of the system is illustrated by the fact that on average, only 100 g of coal dust is found postmortem in the lungs of coal miners, although they inhale approximately 6000 g during their lifetime. The deposition site of particles in the respiratory tract is primarily dependent on the aerodynamic behavior of the particles. The particle size, density, shape, hygroscopicity, breathing pattern, and lung airway structure are also important factors influencing the deposition site and efficiency. The aerodynamic-equivalent diameter (for particle > 0.5 µm) and diffusion-equivalent diameter (< 0.5 µm) are defined as the diameter of a unit density sphere having the same settling velocity (aerodynamic-equivalent) or the same diffusion rate (diffusion-equivalent) as the irregularly shaped particle of interest. Deposition occurs by five possible mechanisms: electrostatic precipitation, interception, impaction, sedimentation, impaction, and diffusion. The latter three are most important. Only particle sizes less than 10 to 20 µm that get pass the nasopharyngeal regions and reach the alveoli are of medical concern. As particle size decreases below 0.5 µm, the aerosol begins to behave like a gas (Figure 6.9). For these particles, diffusion becomes the primary mechanism of deposition in the respiratory tract before it finally reaches the alveoli. 6.6 TOXICANT DISTRIBUTION 6.6.1 Physicochemical Properties and Protein Binding Absorption of toxicants into the blood needs to be high enough so that it will have a significant effect at the site of action in other areas of the body. The distribution process that takes the absorbed drug to other tissues is dependent on various physio- logical factors and physicochemical properties of the drug. This process is therefore a reversible movement of the toxicant between blood and tissues or between extracellular and intracellular compartments. There are, however, several complicating factors that can influence the distribution of a toxicant. For example, perfusion of tissues is an important physiological process, as some organs are better perfused (e.g., heart, brain) than others (e.g., fat). There can also be significant protein binding that affects deliv- ery of drug to tissues. To further complicate the issue, elimination processes such as excretion and biotransformation (discussed at a later time) is occurring simultaneously to remove the toxicant from the blood as well as the target site. There are several physiochemical properties of the toxicant that can influence its distribution. These include lipid solubility, pKa, and molecular weight, all of which were described earlier in this chapter (Section 6.4) and will not be described here. For many toxicants, distribution from the blood to tissues is by simple diffusion down a concentration gradient, and the absorption principles described earlier also apply here. The concentration gradient will be influenced by the partition coefficient or rather the ratio of toxicant concentrations in blood and tissue. Tissue mass and blood flow will also have a significant effect on distribution. For example, a large muscle mass can result in increased distribution to muscle, while limited blood flow to fat or bone tissue can limit distribution. The ratio of blood flow to tissue mass is also a useful indicator of how well the tissue is perfused. The well perfused tissues include liver, 98 ABSORPTION AND DISTRIBUTION OF TOXICANTS kidney, and brain, and the low perfused tissues include fat and bone where there is slow elimination from these tissues. Initial distribution to well-perfused tissues (e.g., heart, brain) occurs within the first few minutes, while delivery of drug to other tissues (e.g., fat, skin) is slower. If the affinity for the target tissue is high, then the chemical will accumulate or form a depot. The advantage here is that if this is a drug, there is no need to load up the central compartment to get to the active site. However, if the reservoir for the drug has a large capacity and fills rapidly, it so alters the distribution of the drug that larger quantities of the drug are required initially to provide a therapeutic effective concentration at the target organ. If this is a toxicant, this may be an advantageous feature as toxicant levels at the target site will be reduced. In general, lipid-insoluble toxicants stay mainly in the plasma and interstitial fluids, while lipid-soluble toxicants reach all compartments, and may accumulate in fat. There are numerous examples of cellular reservoirs for toxicants and drugs to distribute. Tetracycline antibiotics have a high affinity for calcium-rich tissues in the body. The bone can become a reservoir for the slow release of chemicals such as lead, and effects may be chronic or there may be acute toxicity if the toxicant is suddenly released or mobilized from these depots. The antimalaria drug quinacrine accumulates due to reversible intracellular binding, and the concentration in the liver can be several thousand times that of plasma. Another antimalaria drug, chloroquine, has a high affinity for melanin, and this drug can be taken up by tissues such as the retina, which is rich in melanin granules, and can cause retinitis with a drug overdose. Lipophilic pesticides and toxicants (e.g., PCBs) and lipid soluble gases can be expected to accumulate in high concentration in fat tissue. There are unique anatomical barriers that can limit distribution of toxicants. A classical example of such a unique barrier is the blood-brain barrier (BBB), which can limit the distribution of toxicants into the CNS and cerebrospinal fluid. There are three main processes or structures that keep drug or toxicant concentrations low in this region: (1) The BBB, which consist of capillary endothelial tight junctions and glial cells, surrounds the precapillaries, reduces filtration, and requires that the toxicant cross several membranes in order to get to the CSF. (Note that endothelial cells in other organs can have intercellular pores and pinocytotic vesicles.) (2) Active transport systems in the choroid plexus allow for transport of organic acids and bases from the CSF into blood. (3) The continuous process of CSF production in the ventricles and venous drainage continuously dilutes toxicant or drug concentrations. Disease processes such as meningitis can disrupt this barrier and can allow for penetration of antibiotics (e.g., aminoglycosides) that would not otherwise readily cross this barrier in a healthy individual. Other tissue/blood barriers include prostate/blood, testicles/blood, and globe of eye/blood, but inflammation or infection can increase permeability of these barriers. Toxicants can cross the placenta primarily by simple diffusion, and this is most easily accomplished if the toxicants are lipid-soluble (i.e., nonionized weak acids or bases). The view that the placenta is a barrier to drugs and toxicants is inaccurate. The fetus is, at least to some extent, exposed to essentially all drugs even if those with low lipid solubility are taken by the mother. As was indicated earlier, the circulatory system and components in the blood stream are primarily responsible for the transport of toxicants to target tissues or reservoirs. Erythrocytes and lymph can play important roles in the transport of toxicants, but compared to plasma proteins, their role in toxicant distribution is relatively minor for most toxicants. Plasma protein binding can affect distribution because only the unbound TOXICANT DISTRIBUTION 99 toxicant is free or available to diffuse across the cell membranes. The toxicant-protein binding reaction is reversible and obeys the laws of mass action: Toxicant (free) + Protein k 1 ↔ k 2 Toxicant-Protein (bound) Usually the ratio of unbound plasma concentration (C u ) of the toxicant to total toxicant concentration in plasma (C) is the fraction of drug unbound, f u ,thatis, f u = C u C . The constants k 1 and k 2 are the specific rate constants for association and dissociation, respectively. The association constant K a will be the ratio k 1 /k 2 , and conversely, the dissociation constant, K d will be k 2 /k 1 . The constants and parameters are often used to describe and, more important, to compare the relative affinity of xenobiotics for plasma proteins. The are many circulating proteins, but those involved in binding xenobiotics include albumin, α 1 -acid glycoprotein, lipoproteins, and globulins. Because many toxicants are lipophilic, they are likely to bind to plasma α-andβ-lipoproteins. There are mainly three classes of lipoproteins, namely high-density lipoprotein (HDL), low- density lipoprotein (LDL), and very low density lipoprotein (VLDL). Iron and copper are known to interact strongly with the metal-binding globulins transferin and ceru- loplasmin, respectively. Acidic drugs bind primarily to albumin, and basic drugs are bound primarily to α 1 -acid glycoprotein and β-globulin. Albumin makes up 50% of total plasma proteins, and it reacts with a wide variety of drugs and toxicants. The α 1 -acid glycoprotein does not have as many binding sites as albumin, but it has one high-affinity binding site. The amount of toxicant drug that is bound depends on free drug concentration, and its affinity for the binding sites, and protein concentration. Plasma protein binding is nonselective, and therefore toxicants and drugs with similar physicochemical characteristics can compete with each other and endogenous sub- stances for binding sites. Binding to these proteins does not necessarily prevent the toxicant from reaching the site of action, but it slows the rate at which the toxicant reaches a concentration sufficient to produce a toxicological effect. Again, this is related to what fraction of the toxicant is free or unbound (f u ). Toxicants complex with proteins by various mechanisms. Covalent binding may have a pronounced effect on an organism due to the modification of an essential molecule, but such binding is usually a very minor portion of the total dose. Because covalently bound molecules dissociate very slowly, if at all, they are not considered further in this discussion. However, we should recognize that these interactions are often associated with carcinogenic metabolites. Noncovalent binding is of primary importance to distribution because the toxicant or ligand can dissociate more readily than it can in covalent binding. In rare cases the noncovalent bond may be so stable that the toxicant remains bound for weeks or months, and for all practical purposes, the bond is equivalent to a covalent one. Types of interactions that lead to noncovalent binding under the proper physiological conditions include ionic binding, hydrogen bonding, van der Waals forces, and hydrophobic interactions. There are, however, some transition metals that have high association constants and dissociation is slow. 100 ABSORPTION AND DISTRIBUTION OF TOXICANTS We know more about ligand-protein interactions today because of the numerous protein binding studies performed with drugs. The major difference between drugs and most toxicants is the frequent ionizability and high water solubility of drugs as compared with the non-ionizability and high lipid solubility of many toxicants. Thus experience with drugs forms an important background, but one that may not always be relevant to other potentially toxic compounds. Variation in chemical and physical features can affect binding to plasma constituents. Table 6.4 shows the results of binding studies with a group of insecticides with greatly differing water and lipid solubilities. The affinity for albumin and lipoproteins is inversely related to water solubility, although the relation may be imperfect. Chlo- rinated hydrocarbons bind strongly to albumin but even more strongly to lipoproteins. Strongly lipophilic organophosphates bind to both protein groups, whereas more water- soluble compounds bind primarily to albumin. The most water-soluble compounds appear to be transported primarily in the aqueous phase. Chlordecone (Kepone) has partitioning characteristics that cause it to bind in the liver, whereas DDE, the metabo- lite of DDT, partitions into fatty depots. Thus the toxicological implications for these two compounds may be quite different. Although highly specific (high-affinity, low-capacity) binding is more common with drugs, examples of specific binding for toxicants seem less common. It seems probable that low-affinity, high-capacity binding describes most cases of toxicant binding. The number of binding sites can only be estimated, often with considerable error, because of the nonspecific nature of the interaction. The number of ligand or toxicant molecules bound per protein molecule, and the maximum number of binding sites, n,definethe definitive capacity of the protein. Another consideration is the binding affinity K binding (or 1/K diss ). If the protein has only one binding site for the toxicant, a single value, K binding , describes the strength of the interaction. Usually more than one binding site is present, each site having its intrinsic binding constant, k 1 ,k 2 , ,k n . Rarely does one find a case where k 1 = k 2 = = k n , where a single value would describe the affinity Table 6.4 Relative Distribution of Insecticides into Albumin and Lipoproteins Percent Distribution of Bound Insecticide Insecticide Percent Bound Albumin LOL HDL DDT 99.9 35 35 30 Deildrin 99.9 12 50 38 Lindane 98.0 37 38 25 Parathion 98.7 67 21 12 Diazinon 96.6 55 31 14 Carbaryl 97.4 99 <1 <1 Carbofuran 73.6 97 1 2 Aldicarb 30.0 94 2 4 Nicotine 25.0 94 2 4 Source: AdaptedfromB.P.MaliwalandF.E.Guthrie,Chem Biol Interact 35:177–188, 1981. Note: LOL, low-density lipoprotein; HOL, high-density lipo- protein. TOXICANT DISTRIBUTION 101 constant at all sites. This is especially true when hydrophobic binding and van der Waals forces contribute to nonspecific, low-affinity binding. Obviously the chemical nature of the binding site is of critical importance in determining binding. The three- dimensional molecular structure of the binding site, the environment of the protein, the general location in the overall protein molecule, and allosteric effects are all factors that influence binding. Studies with toxicants, and even more extensive studies with drugs, have provided an adequate elucidation of these factors. Binding appears to be too complex a phenomenon to be accurately described by any one set of equations. There are many methods for analyzing binding, but equilibrium dialysis is the most extensively used. Again, the focus of these studies is to determine the percentage of toxicant bound, the number of binding sites (n), and the affinity constant (K a ).The examples presented here are greatly simplified to avoid the undue confusion engendered by a very complex subject. Toxicant-protein complexes that utilize relatively weak bonds (energies of the order of hydrogen bonds or less) readily associate and dissociate at physiological tempera- tures, and the law of mass action applies to the thermodynamic equilibrium: K binding = [TP] [T ][P ] = 1 K diss , where K binding is the equilibrium constant for association, [TP] is the molar concen- tration of toxicant-protein complex, [T ] is the molar concentration of free toxicant, and [P ] is the molar concentration of free protein. This equation does not describe the binding site(s) or the binding affinity. To incorporate these parameters and estimate the extent of binding, double-reciprocal plots of 1/[TP]versus1/[T ] may be used to test the specificity of binding. The 1/[TP] term can also be interpreted as moles of albumin per moles of toxicant. The slope of the straight line equals 1/nK a and the intercept of this line with the x-axis equals −K a . Regression lines passing through the origin imply infinite binding, and the validity of calculating an affinity constant under these circum- stances is questionable. Figure 6.10 illustrates one such case with four pesticides, and the insert illustrates the low-affinity, “unsaturable” nature of binding in this example. The two classes of toxicant-protein interactions encountered may be defined as (1) specific, high affinity, low capacity, and (2) nonspecific, low affinity, high capacity. The term high affinity implies an affinity constant (K binding ) of the order of 10 8 M −1 , whereas low affinity implies concentrations of 10 4 M −1 . Nonspecific, low-affinity bind- ing is probably most characteristic of nonpolar compounds, although most cases are not as extreme as that shown in Figure 6.10. An alternative and well-accepted treatment for binding studies is the Scatchard equation especially in situations of high-affinity binding: ν = nk[T ] 1 + k[T ] , which is simplified for graphic estimates to ν [T ] = k(n − ν), where ν is the moles of ligand (toxicant) bound per mole of protein, [T ] is the con- centration of free toxicant, k is the intrinsic affinity constant, and n is the number of sites exhibiting such affinity. When ν[T ] is plotted against ν, a straight line is obtained 102 ABSORPTION AND DISTRIBUTION OF TOXICANTS 12 10 8 6 4 2 0 DDT Dieldrin Parathion Carbaryl 403020105 10 −3 × r 10 8 10 7 10 6 1 r B A 6 5 4 3 2 1 0 5201510 1 [L] × 10 8 r [L] (M −1 ) 10 −3 B FA × (a) (b) Figure 6.10 Binding of toxicants to blood proteins: (a) Double-reciprocal plot of binding of rat serum lipoprotein fraction with four insecticides. Insert illustrates magnitude of differences in slope with Scatchard plot. (b) Scatchard plot of binding of salicylate to human serum proteins. (Sources: (a) Skalsky and Guthrie, Pest. Biochem. Physiol. 7: 289, 1977; (b) Moran and Walker, Biochem. Pharmacol. 17: 153, 1968.) if only one class of binding sites is evident. The slope is −k, and the intercept on the ν-axis becomes n (number of binding sites). If more than one class of sites occurs (probably the most common situation for toxicants), a curve is obtained from which the constants may be obtained. This is illustrated in Figure 6.10b, for which the data show not one but two species of binding sites: one with low capacity but high affinity, and another with about three times the capacity but less affinity. Commonly used computer programs usually solve such data by determining one line for the specific binding and one line for nonspecific binding, the latter being an average of many possible solutions. When hydrophobic binding of lipid toxicants occurs, as is the case for many environmental contaminants, binding is probably not limited to a single type of plasma [...]... that an important pharmacokinetic parameter known as clearance (C ) can be used to quantitatively assess elimination of a toxicant Clearance is defined as the rate of toxicant excreted relative to its plasma concentration, Cp : Rate of toxicant excretion C = Cp The rate of excretion is really the administered dose times the fractional elimination rate constant Kel described earlier Therefore we can... interactions and data analyses SUGGESTED READING R Bronaugh and H Maibach, eds Percutaneous Absorption New York: Dekker, 1989 A Goodman Gilman, T W Rall, A S Nies, and P Taylor, eds Goodman and Gilman’s The Pharmacological Basis of Therapeutics, 8th edn Elmsford, NY: Pergamon Press, 1990 P Grandjean, ed Skin Penetration: Hazardous Chemicals at Work London: Taylor and Francis, 1990 110 ABSORPTION AND... time course of absorption, distribution, and elimination of a chemical We use pharmacokinetics as a tool to analyze plasma concentration time profiles after chemical exposure, and it is the derived rates and other parameters that reflect the underlying physiological processes that determine the fate of the chemical There are numerous software packages available today to accomplish these analyses The user... DISTRIBUTION OF TOXICANTS R Krieger, ed Handbook of Pesticide Toxicology, 2nd edn San Diego: Academic Press, 2001 M Rowland and T N Tozer, eds Clinical Pharmacokinetics Concepts and Applications, 3rd edn Philadelphia: Lea and Febiger, 1995 L Shargel and A B C Yu, eds Applied Biopharmaceutics and Pharmacokinetics, 4th edn Norwalk, CT: Appleton and Lange, 1999 CHAPTER 7 Metabolism of Toxicants RANDY L ROSE and... families belonging to several species The CYP1 family contains three known human members, CYP 1A1 , CYP 1A2 , and CYP1B1 CYP 1A1 and CYP 1A2 are found in all classes of the animal kingdom 120 METABOLISM OF TOXICANTS 51 39 7 7 CLAN B 8 A 20 24 C B 27 MITOCHONDRIAL CLAN A 11 B A 19 C B A 26 46 V 4 CLAN F 4 T X B Z A 5 3 CLAN 3 B A 21 17 C B A W U R T X D 2 CLAN 1 2 V Z N P J K S M Y G A B F E C 51 3 9A1 7A1 ... retinoic acid, taxol, and arachidonic acid CYP2C9, the principal CYP2C in PHASE I REACTIONS 1 23 human liver, metabolizes several important drugs including the diabetic agent tolbutamide, the anticonvulsant phenytoin, the anticoagulant warfarin and a number of anti-inflammatory drugs including ibuprofen, diclofenac, and others Both CYP2C9 and -2C8, which are responsible for metabolism of the anticancer... lovastatin, and tamoxifen Other important oxidations ascribed to the CYP3 family include many steroid hormones, macrolide antibiotics, alkaloids, benzodiazepines, dihydropyridines, warfarin, polycyclic hydrocarbon-derived dihydrodiols, and a atoxin B1 Many chemicals are also capable of inducing this family including phenobarbital, rifampicin, and dexamethasone Because of potential difficulties arising... time) Many pharmacokinetic analyses of a chemical are based primarily on toxicant concentrations in blood or urine samples It is often assumed in these analyses that the rate of change of toxicant concentration in blood reflects quantitatively the change in toxicant concentration throughout the body (first-order principles) Because of the elimination/clearance process, which also assumed to be a first-order... cell membranes (e.g., ethanol, diazepam; Vd = 1 to 2 L/kg) Binding of the toxicant anywhere outside of the plasma compartment, as well as partitioning into body fat, can increase Vd beyond the absolute value for total body water In general, toxicants with a large Vd can even reach the brain, fetus, and other transcellular compartments In general, toxicants with large Vd are a consequence of extensive... detectable aryl hydrocarbon hydroxylase activity, an observation that may be of considerable importance in studies of the metabolic activation of carcinogens Multiplicity of Cytochrome P450, Purification, and Reconstitution of Cytochrome P450 Activity Even before appreciable purification of CYP had been accomplished, it was apparent from indirect evidence that mammalian liver cells contained more than one . depots. The antimalaria drug quinacrine accumulates due to reversible intracellular binding, and the concentration in the liver can be several thousand times that of plasma. Another antimalaria drug,. pharmacokinetic param- eter known as clearance (C) can be used to quantitatively assess elimination of a toxicant. Clearance is defined as the rate of toxicant excreted relative to its plasma concentration,. time and thus have a prolonged half-life. The transcellular pathway has been discredited as a major pathway, although some polar substances can penetrate the outer surface of the protein filaments